Endometrial Diseases, IUD Insertion Complication
Conditions
Brief summary
The purpose of the study is to investigate whether the speed of tenaculum placement affects perceived patient pain during office transcervical procedures.
Detailed description
IUD insertion and endometrial biopsies are commonly performed in office procedures that use a tenaculum to stabilize the cervix. Patient's often complain that tenaculum placement is one of the most uncomfortable parts of these procedures. Patient's who agree to be in the study will be randomized into one of two groups, either slow tenaculum placement or fast tenaculum placement. Throughout the procedure patient's will be asked to rate the amount of pain they are experiencing using a visual analog scale. The researchers will then compare the two groups. The providers will also rate what they perceived the patient's pain to be with the procedure.
Interventions
Slow placement of the tenaculum on the cervix
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years old and older * Clinic provider plans a transcervical procedure (IUD placement or endometrial biopsy) * English speaking and able to consent
Exclusion criteria
* Incarcerated * Prior LEEP (loop electrosurgical excision procedure), cryo (cryotherapy) or CKC (cold knife cone) of the cervix
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain with tenaculum placement assessed using a VAS scale | procedure | Subjects will record their pain on a paper VAS scale at the time of the procedure only. This is the only data collection point for this measure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall pain perception assessed using a VAS scale | procedure | Subjects will record their pain on a paper VAS scale at the time of the procedure only. This is the only data collection point for this measure. |
| Provider perception of patient pain assessed using a VAS scale | procedure | Providers will record their pain on a paper VAS scale at the time of the procedure only. This is the only data collection point for this measure. |